VASCULAR & VEIN CENTER OF NEW JERSEY LLC
NPI 1396301974
Surgery - Vascular Surgery in Eatontown, NJ

Q: What is Vascular & Vein Center Of New Jersey LLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Active since May 19, 2019CLIA 31D2167170 · Waiver

10 INDUSTRIAL WAY E STE 103, EATONTOWN, NJ 07724(848) 257-1900(848) 208-3445 Get Directions Write a Review

NPPES record last updated: July 9, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 9, 2019, May 22, 2019, May 19, 2019 (3 updates tracked since 2019).

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About Vascular & Vein Center Of New Jersey Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VASCULAR & VEIN CENTER OF NEW JERSEY LLC (NPI 1396301974) is a healthcare organization registered as a vascular surgery in Eatontown, New Jersey and active in the NPI registry since May 2019. The organization holds a CLIA Waiver certificate valid through June 3, 2027 and lists Mohammad Nasir Khan, Owner, as its authorized official.

NPPES Registry Identity

NPI1396301974

Entity TypeOrganization

Primary Taxonomy2086S0129X

Legal Business NameVASCULAR & VEIN CENTER OF NEW JERSEY LLC

Location Address10 INDUSTRIAL WAY E STE 103Eatontown, NJ 07724-3332

Mailing Address10 Industrial Way E Ste 103Eatontown, NJ 07724-3332 · (848) 257-1900 · Fax (848) 208-3445

Phone(848) 257-1900

Fax(848) 208-3445

Organization SubpartNo

Authorized OfficialMohammad Nasir KhanOwner · (848) 257-1900

Enumeration DateMay 19, 2019

Last NPPES UpdateJuly 9, 20193 updates tracked since enumeration

✔ NPI 1396301974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

10 INDUSTRIAL WAY E STE 103, Eatontown, NJ 07724

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2167170

Vascular & Vein Center Of Nj, LLC · Eatontown, NJ

Active · expires Jun 3, 2027

CLIA Number31D2167170

Laboratory TypePhysician Office

Certificate Effective DateJune 4, 2025

Certificate Expiration DateJune 3, 2027

Laboratory DirectorMohammad U. Nasir-Khan

Laboratory Phone(848) 257-1900

Laboratory LocationVascular & Vein Center Of Nj, LLC10 Industrial Way East, Suite 103, Eatontown, NJ 07724

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VASCULAR & VEIN CENTER OF NJ LLC

Surgery (Vascular Surgery)

10 INDUSTRIAL WAY E STE 103
EATONTOWN, NJ 07724

Monmouth County (848) 257-1900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vascular & Vein Center Of New Jersey LLC's NPI number?

The NPI number for Vascular & Vein Center Of New Jersey LLC is 1396301974. It was assigned to this organization in the NPPES registry on May 19, 2019.

Where is Vascular & Vein Center Of New Jersey LLC located?

Vascular & Vein Center Of New Jersey LLC is located at 10 Industrial Way E Ste 103, Eatontown, NJ 07724. The listed phone number is (848) 257-1900.

What is Vascular & Vein Center Of New Jersey LLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Does Vascular & Vein Center Of New Jersey LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2167170) is associated with this NPI, valid through June 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Vascular & Vein Center Of New Jersey LLC was last updated on July 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.